Active NPI
Charletta Dennis, M.D.
- Psychiatry Physician
- Saline, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301099414
- Practice address
- 8303 Platt Rd.
Saline, MI 48176 - Phone
- (734) 295-4428
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301099414 | MI | Primary |
Addresses
Primary practice location
8303 Platt Rd.
Saline, MI 48176
Mailing address
8303 Platt Rd
Saline, MI 48176-9773
Phone (734) 295-4428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, LA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Wayne State University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 S Huron Pkwy
Suite 2B
Ann Arbor, MI 48104-5133
Phone 73472588021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301099414 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Michigan Office of Financial Management | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Westlake Consultation Center | Current | Accepting new patients | |
| Asnaa | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Psychiatry | Current | Accepting new patients |
| State of Michigan Office of Financial Management | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| State of Michigan Office of Financial Management | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
2301 S Huron Pkwy
Ste 2B
Ann Arbor, MI 48104
Phone (734) 677-0710
8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088
19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
8303 Platt Rd
Saline, MI 48176
Phone (734) 295-4223
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Ann Arbor, MI
- NPI 1962032227
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1346637758
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Nursing Facility/Intermediate Care Facility
- Grand Rapids, MI
- NPI 1710989298
-
- Primary Care Nurse Practitioner
- Ann Arbor, MI
- NPI 1043178254
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Psychiatry Physician
- Lansing, MI
- NPI 1811942436
-
- Psychiatric Hospital
- Saline, MI
- NPI 1003859380
-
- Skilled Nursing Facility
- Chesterfield, MI
- NPI 1497342653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1881982973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 PLATT RD",
"city": "SALINE",
"state": "MI",
"postal_code": "481769773",
"telephone_number": "734-295-4428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8303 PLATT RD.",
"city": "SALINE",
"state": "MI",
"postal_code": "48176",
"telephone_number": "734-295-4428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNIS",
"first_name": "CHARLETTA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301099414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saline, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.